EFTA01222591.pdf

❑ CORRECTED if checked Attachment DONEE'S name. street address. cdy or town. state or province. county. ZIP 1 Date of contnbution OMB No. 1545-1959 Sequence No.1S5A or foreign postal code. and telephone no. Contributions of 2a Odometer mileage 2016 Motor Vehicles, Boats, and Airplanes Form 1098-C 2b Year 2c Make 2d Model DONEE'S federal identification DONOR'S identification 3 Vehicle or other identification number number number DONOR'S name 4a ❑ Donee certifies that vehicle was sold in arm's length transaction to unrelated Deity Street address (including apt. no.) 4b Date of sale Copy B City or town. state or province. country. and ZIP or foreign postal code 4c Gross proceeds from sale (see instructions) For Donor $ Sa ❑ Donee certifies that vehicle not be transfend for money. other properly. or services before completion of materiel In order to take improvements or significant intervening use a deduction of more than $500 Sb ❑ Donee certifies that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of for this donee's charitable purpose contribution, you must attach this Sc Donee certfies the folowing detailed description of material improvements or significant intervening use and duration of use copy to your federal tax return. Unless box 5a or 5b is checked, your deduction 6a Did you provide goods or services in exchange for the vehicle? ► Yes ❑ No ❑ cannot exceed the amount in 66 Value of goods and services provided in exchange for the vehicle box 4c. 6c Describe the goods and services. if any. that were provided. If this box is checked. donee certifies that the goods and services consisted solely of intangible religious benefits ► ❑ 7 Under the law. the donor may not clam a deduction of more than $500 for this vehicle if this box is checked ► Form 1098-C www.irs.gov/form1098c Department of the Treasury - Internal Revenue Service EFTA01222591